Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Guam (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vincent Duenas (NPI 1134430192)

Field	Value
Entity Type	Individual
Organization	Vincent Duenas
Address	280 Pale San Vitores Rd Apt 104
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 24, 2010

Payer Source	Total Paid
Medicare	$46.8K
Medicaid	$0

Key Findings

This profile is consistent with an office-based Internal Medicine physician whose Medicare revenue is concentrated in standard evaluation-and-management visits: 99214 generates $31.8K (67.7% of Medicare revenue) across 413 claims with an average paid/claim of $77, and 99213 generates $5.1K (10.8%) across 89 claims with an average paid/claim of $57. The prominence of these E/M codes points to longitudinal outpatient management of established patients with moderate-to-low complexity encounters as the core service line.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 87.8% of this provider's total Medicare revenue. Heavy dependence on a small set of codes (notably 99214 at $31.8K) indicates that any change in office visit volume, coding, or reimbursement for those E/M services would materially affect overall Medicare revenue.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $46.8K and there is no Medicaid billing on file. The absence of Medicaid activity means the provider operates with almost all public-fee exposure on Medicare, limiting diversification of payer risk.

Competitive standing on the leading office-visit code is above average but not dominant: 99214 ranks #66041 of 479517 providers nationally (86th percentile; typical, unremarkable volume for this code), while 99213 sits near the median at the 55th percentile (rank #202956 of 457151; typical, unremarkable). These percentiles indicate higher-than-average national volume for 99214 but overall a modest footprint rather than a market-leading presence.

Preventive services and vaccinations are a meaningful secondary revenue stream: 90662 (flu vaccine) produced $4.4K (9.4% of Medicare revenue) with 62 claims and a $71 avg paid/claim and G0008 (influenza administration) produced $2.4K (5.1%) with 75 claims. Both vaccine codes rank in the mid-percentiles (90662 at the 65th and G0008 at the 64th percentile; typical, unremarkable volume), suggesting routine immunization activity is integrated into office workflows.

The provider also bills for home-health physician supervision work: G0181 appears with 35 claims and $2.7K in revenue (5.8% of Medicare revenue) and ranks #1272 of 1990 providers nationally (35th percentile; typical, unremarkable volume). This indicates some involvement in complex home health care plan oversight, but at a lower relative volume versus office E/M services.

Despite long tenure in the NPI file—enumerated on 2010-06-24 (~16 years ago)—the overall Medicare scale is small, with lifetime Medicare revenue of $46.8K. The combination of long registration and modest billed revenue suggests a small clinical practice or part-time Medicare billing activity rather than a high-volume Medicare operation.

Several vaccine and administration codes sit at low national percentiles, signaling selective billing patterns: G0009 (pneumococcal) ranks #54541 of 58343 (0th percentile; typical, unremarkable volume) and 90688 ranks at the 11th percentile. These low-percentile entries imply limited use of certain vaccine products or sporadic billing for those specific services compared with peers.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	410	$80	$31.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90	$60	$5.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	60	$70	$4.4K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	40	$80	$2.7K
G0008	Administration of influenza virus vaccine	80	$30	$2.4K
G0009	Administration of pneumococcal vaccine	10	$30	$340
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	10	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Vincent Duenas — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	18	90	140	$90	$25.7K
99213	53	100	100	$60	$10.6K
90662	4	10	50	$70	$3.9K
G0181	2	10	40	$80	$2.5K
G0008	11	40	30	$30	$2.1K
90688	22	30	30	$20	$1.4K
G0009	11	10	20	$30	$940

Nearby Providers

Other providers in the same ZIP code as Vincent Duenas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M

Vincent Duenas — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References